Skip Navigation LinksHome > October 2012 - Volume 112 - Issue 10 > CE Test 2.5 Hours: Celiac Disease: A Medical Puzzle
AJN, American Journal of Nursing:
doi: 10.1097/01.NAJ.0000421023.69918.41
Feature Articles

CE Test 2.5 Hours: Celiac Disease: A Medical Puzzle

Contrada, Emily

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Continued Education
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* Registration deadline is October 31, 2014.

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To provide registered professional nurses with current information about celiac disease.

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After reading this article and taking this test, you will be able to

* outline the pathophysiology and epidemiology of celiac disease.

* discuss the signs and symptoms, diagnosis, treatment, and nursing implications related to celiac disease.

1. All of the following are true regarding celiac disease except that it

a. is T-cell mediated.

b. targets the stomach.

c. is an autoimmune disorder.

d. is a genetic illness.

2. Another name for celiac disease is

a. endemic sprue.

b. Crohn's disease.

c. thalassemia.

d. irritable bowel syndrome.

3. For U.S. adults with celiac disease, what is the average time from onset of symptoms to diagnosis?

a. 6 months

b. 2 years

c. 5 years

d. 10 years

4. Of the following statements, which is accurate regarding the prevalence of celiac disease?

a. The prevalence is about 1 in 3,000 worldwide.

b. In Europe, celiac disease is one of the most commonly diagnosed genetic diseases.

c. The prevalence worldwide is on the decline.

d. The increase in prevalence is due to improved detection methods.

5. Of the following statements, which is true regarding the epidemiology of celiac disease?

a. Celiac disease can manifest at any age.

b. Its incidence decreases with age.

c. It is more prevalent in men.

d. Obesity is a risk factor for the disease.

6. Chronic inflammation in the intestines caused by gluten ingestion leads to

a. a bowel obstruction.

b. ischemic bowel.

c. loss of absorptive ability.

d. melanosis coli.

7. Signs and symptoms of celiac disease include

a. hyperglycemia.

b. early menopause.

c. hematochezia.

d. early menarche.

8. Patients with celiac disease who have mostly nongastrointestinal symptoms have

a. latent celiac disease.

b. silent celiac disease.

c. atypical celiac disease.

d. classical celiac disease.

9. Malabsorption of a single nutrient can lead to symptoms of other conditions. For example, calcium malabsorption may result in symptoms of

a. renal failure.

b. hepatic encephalopathy.

c. hypercoagulability.

d. osteoporosis.

10. A chief complaint of patients with celiac disease is

a. abdominal distention.

b. fatigue.

c. abdominal pain.

d. diarrhea or constipation.

11. For both classical and atypical celiac disease, diagnosis is confirmed by all of the following except

a. serological testing.

b. biopsy evidence of villous atrophy.

c. positron emission tomography.

d. symptom improvement on a gluten-free diet.

12. Of the following, which is sometimes called celiac disease of the skin?

a. nummular dermatitis

b. stasis dermatitis

c. seborrheic dermatitis

d. dermatitis herpetiformis

13. Patients being tested for celiac disease should be instructed to

a. eliminate oats from the diet, except for gluten-free oats.

b. continue to ingest gluten.

c. eat a high-fructose diet.

d. avoid all contact with gluten.

14. Treatment for celiac disease includes

a. disease-modifying antirheumatic drugs.

b. 5-alpha-reductase inhibitors.

c. adherence to a gluten-free diet.

d. antiangiogenic agents.

15. In educating a patient with celiac disease, which of the following statements would be appropriate?

a. “Avoid gluten-free pasta cooked in water previously used for regular pasta.”

b. “Avoid shampoos and lotions that contain gluten.”

c. “Vitamins are gluten free.”

d. “Lipsticks containing gluten are safe to use.”

16. A comorbidity that is frequently associated with celiac disease is

a. hypercholesterolemia.

b. polycystic ovary syndrome.

c. Marfan syndrome.

d. thyroid disease.

17. According to the Celiac Sprue Association, undiagnosed celiac disease increases the risk of cancer by

a. 40% to 50%.

b. 120% to 150%.

c. 200% to 300%.

d. 350% to 380%.

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